Mcleansboro, IL
26
In-network payers
127
Disclosed rate categories
25
Beds
1
Care quality
Hamilton Memorial Hospital is a 25-bed government - hospital district or authority hospital in Mcleansboro, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 127 disclosed rate categories.
CCN (Medicare provider number)
141326
NPI
1447257258
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Hamilton Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$354 - $3,240
from 4 insurers · median $2,748
Typical for a hospital with this service line
CT imaging
CPT 74176
$214 - $2,542
from 4 insurers · median $2,155
Typical for a hospital with this service line
CT imaging
CPT 70450
$123 - $1,469
from 4 insurers · median $779
Typical for a hospital with this service line
CT imaging
CPT 71260
$161 - $1,903
from 4 insurers · median $1,614
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,486 - $1,867
from 4 insurers · median $1,733
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$403 - $4,235
from 4 insurers · median $3,213
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72148
$259 - $2,335
from 4 insurers · median $1,980
Typical for a hospital with this service line
MRI imaging
CPT 70551
$265 - $2,335
from 4 insurers · median $1,980
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$26 - $229
from 4 insurers · median $194
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$182 - $1,067
from 4 insurers · median $603
Typical for a hospital with this service line
MRI imaging
CPT 73721
$273 - $2,335
from 4 insurers · median $1,980
Typical for a hospital with this service line
Mammography
CPT 77067
$103 - $171
from 4 insurers · median $136
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$373 - $1,080
from 4 insurers · median $929
Typical for a hospital with this service line
Ultrasound
CPT 76705
$83 - $382
from 4 insurers · median $324
Typical for a hospital with this service line
Ultrasound
CPT 76642
$80 - $436
from 4 insurers · median $370
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$35 - $415
from 4 insurers · median $352
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$622 - $3,661
from 4 insurers · median $2,778
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$268 - $504
from 4 insurers · median $434
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$32 - $334
from 4 insurers · median $283
Typical for a hospital with this service line
Ultrasound
CPT 76830
$112 - $436
from 4 insurers · median $370
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$333 - $549
from 4 insurers · median $472
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$7 - $86
from 4 insurers · median $73
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$651 - $3,922
from 4 insurers · median $2,976
Typical for a hospital with this service line
Ultrasound
CPT 76856
$99 - $436
from 4 insurers · median $331
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 413% | 3 | 16 |
| Insurer B* | 24 | 362% | 0 | 20 |
| Insurer C* | 24 | 309% | 3 | 17 |
| Insurer D* | 24 | 89% | 1 | 23 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Hamilton Memorial Hospital.
611 South Marshall Avenue, Mcleansboro, IL 62859
(618) 643-2361
The nearest hospitals of similar type and size. Their rates are compared with Hamilton Memorial Hospital for the same insurers and services above.
Ferrell Hospital
â–² Rates typically 21% higher than Hamilton Memorial Hospital (22 services)
Franklin Hospital
â–² Rates typically 32% higher than Hamilton Memorial Hospital (23 services)
Fairfield Memorial Hospital
â–² Rates typically 984% higher than Hamilton Memorial Hospital (23 services)
Marshall Browning Hospital
â–² Rates typically 39% higher than Hamilton Memorial Hospital (23 services)
Clay County Hospital
â–² Rates typically 82% higher than Hamilton Memorial Hospital (24 services)
Salem Township Hospital
Rates about the same as Hamilton Memorial Hospital (24 services)
Wabash General Hospital
Genesis Medical Center Aledo
Harvard Memorial Hospital
Paris Community Hospital
About Hamilton Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Hamilton Memorial Hospital range from $1,486 to $1,867 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $1,836. The median at nearby comparable hospitals is $2,759. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Hamilton Memorial Hospital range from $354 to $3,240 across 4 insurers. Aetna's rate is $354. The median at nearby comparable hospitals is $3,500. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Hamilton Memorial Hospital range from $373 to $1,080 across 4 insurers. Aetna's rate is $373. The median at nearby comparable hospitals is $1,799. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Hamilton Memorial Hospital range from $103 to $171 across 4 insurers. Aetna's rate is $119. The median at nearby comparable hospitals is $334. What a patient pays depends on their plan's deductible, coinsurance and network status.
Hamilton Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Hamilton Memorial Hospital is located at 611 South Marshall Avenue, Mcleansboro, IL 62859. Its main phone number is (618) 643-2361.
Hamilton Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 141326.
The National Provider Identifier (NPI) on file for Hamilton Memorial Hospital is 1447257258.
Hamilton Memorial Hospital lists 26 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
127 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers